Pecori Laura, Serra Cervetti Gian Giacomo, Marinari Giuseppe M, Migliori Franco, Adami Gian Franco
Department of Psychology, University of Genoa, Genoa, Italy.
Obes Surg. 2007 Jan;17(1):68-73. doi: 10.1007/s11695-007-9008-3.
The authors evaluated body image attitudes in post-obese persons following bariatric surgery who require cosmetic and body contouring operations.
We studied 20 morbidly obese women prior to biliopancreatic diversion (BPD) (OB group), 20 post-obese women at >2 years following BPD (POST group), 10 post-obese women following BPD who required cosmetic procedures (POST-A group), 10 post-obese women after BPD and subsequent cosmetic surgery (POST-B group), and 20 healthy lean controls. Attitudes to weight and shape were evaluated by means of the Body Uneasiness Test (BUT).
In comparison with the obese patients in the POST group, lower BUT scores were observed, while in the POST-A group the values were very similar to those observed in the non-operated obese individuals. In the individuals having received cosmetic surgery, the BUT findings were similar to those recorded in the POST group patients, the values approaching data found in the controls.
Despite a fully satisfactory weight loss and maintenance, the post-BPD individuals requiring aesthetic surgery showed some disparagement of body image; in these subjects, cosmetic and body contouring procedures may actually improve body weight and shape attitudes towards normality.
作者评估了接受减肥手术后需要美容和身体塑形手术的肥胖症康复者的身体意象态度。
我们研究了20名接受胆胰分流术（BPD）前的病态肥胖女性（肥胖组）、20名BPD术后超过2年的肥胖症康复女性（肥胖症康复组）、10名BPD术后需要美容手术的肥胖症康复女性（肥胖症康复-A组）、10名BPD术后并接受后续美容手术的肥胖症康复女性（肥胖症康复-B组）以及20名健康瘦人对照组。通过身体不安测试（BUT）评估对体重和体型的态度。
与肥胖症康复组中的肥胖患者相比，观察到BUT得分较低，而在肥胖症康复-A组中，这些值与未接受手术的肥胖个体中观察到的值非常相似。在接受美容手术的个体中，BUT结果与肥胖症康复组患者中记录的结果相似，这些值接近对照组中的数据。
尽管体重减轻和维持情况完全令人满意，但需要美容手术的BPD术后个体仍表现出对身体意象的一些贬低；在这些受试者中，美容和身体塑形手术实际上可能会改善对体重和体型的态度，使其趋于正常。
